| NPI | 1588145908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32126) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-01-18 |